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Viewing: CMP+ Standard 15 - Benefits Eligibility, 01-245a

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Current Status: Active PolicyStat ID: 5105658

CMP+ Standard 15 - Benefits Eligibility, 01-245a

APPLICABILITY

Community Medicaid Providers (CMPs+)

POLICY

DBHDD requires that Community Medicaid Providers who have additional requirements (CMP+), utilize all viable routes to secure adequate payment for clinically appropriate services for individuals in need of behavioral health services.

GUIDELINES FOR CMP+

The CMP+ must have a mechanism to ensure that uninsured individuals that may be eligible for insurance or have access to other benefits receive the support and case management to seek application of those benefits in compliance with Payment by Individuals for Community Behavioral Health Services, 01-107, and Requirements to Access DBHDD Funds for Child & Adolescent Behavioral Health Services, 01-106.

KEY PERFORMANCE INDICATOR

  TOTAL WEIGHT 2% 
 KPI INDIVIDUAL KPI WEIGHT (IN POINTS) DATA SOURCE

1. Provider has policies and procedures in place for assisting individuals with making application for health benefits and/or other entitlements.

100 Copy of Policy

RELATED POLICIES

Community Medicaid Provider (CMP) Standards for Georgia's Tier 2 Behavioral Health Services, 01-230

Requirements to Access DBHDD Funds for Child & Adolescent Behavioral Health Services, 01-106

Payment by Individuals for Community Behavioral Health Services, 01-107

Process for Reporting Compliance with Standards for Tier 2 Community Medicaid Providers (CMP+), 01-249a

Attachments:

Approval Signatures

Approver Date
Anne Akili, Psy.D.: Director, Policy Management 6/28/2018
Monica Johnson, MA, LPC: Director, Division of Behavioral Health 6/26/2018
Anne Akili, Psy.D.: Director, Policy Management 6/25/2018
Keisha Blackwell, LMSW, MBA: Policy Coordinator 6/25/2018
Older Version Approval Signatures
Approver Date
Anne Akili, Psy.D.: Director, Policy Management 6/28/2018
Monica Johnson, MA, LPC: Director, Division of Behavioral Health 6/26/2018
Anne Akili, Psy.D.: Director, Policy Management 6/25/2018
Keisha Blackwell, LMSW, MBA: Policy Coordinator 6/25/2018
Older Version Approval Signatures
Anne Akili, Psy.D.: Director, Policy Management 8/8/2017
Monica Johnson, MA, LPC: Director, Division of Behavioral Health 8/7/2017
Anne Akili, Psy.D.: Director, Policy Management 8/7/2017
Keisha Blackwell, LMSW, MBA: Policy Coordinator 8/7/2017
Anne Akili, Psy.D.: Policy Director 9/22/2016
Monica Johnson, MA, LPC: Director, Division of Behavioral Health 9/21/2016
Anne Akili, Psy.D.: Policy Director 9/20/2016
Joetta Prost, Ph.D.: DBHDD Policy Director 5/18/2015
Monica Johnson, MA, LPC: Director, Division of Behavioral Health 5/17/2015
Joetta Prost, Ph.D.: DBHDD Policy Director 4/13/2015